Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.53 / $3,278.00 / $10,635.00	Facility		$696.53	$3,278.00	$10,635.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $351.31 / $522.39 / $1,144.43	Facility	54	$351.31	$522.39	$1,144.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.47 / $548.63 / $728.64	Facility		$427.47	$548.63	$728.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $550.91 / $550.91	Facility		$550.91	$550.91	$550.91
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00